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1 Rowan College at Gloucester County 1400 Tanyard Road Sewell, NJ Administrative Procedure: 7002 Workers Compensation All active employees, as well as members of the Board of Trustees, are covered by New Jersey Workers Compensation law which provides medical treatment, wage replacement, and permanent disability compensation to employees who suffer job-related injuries or illnesses. Necessary and reasonable medical treatment, prescriptions, and hospital services related to the work injury are paid by the insurance carrier. The employer and/or its insurance carrier have the right to designate medical providers for all work-related injuries. If an injured worker is disabled for a period of more than seven days, he or she will be eligible to receive temporary total benefit, retroactive to the first day of lost time. The benefit will be paid at a rate of 70% of the worker s average weekly wage, not to exceed the statutory maximum rate or fall below the statutory minimum rate established annually by the Commissioner of Labor and Workforce Development. These benefits are provided until the worker has returned to work, has reached maximum medical improvement, or has reached the statutory 400-week maximum. It is the responsibility of all employees to inform their supervisor as soon as they are injured, even if the injury is minor and does not appear to require treatment, or if they believe they have developed an illness related to their work. The employee s supervisor will be responsible for ensuring that both Human Resources (HR) and Security are notified of the incident. A First Report form and associated forms must be completed within 24 hours of the incident. HR will submit all completed forms to the Gloucester County Insurance Commission (GCIC). The supervisor will complete the forms on the employee s behalf if the employee is unable to complete the forms (see list below). Human Resources GCIC First Report Form, 2 pages preliminary; required within 24 hours of accident Note: Section to be completed by the Supervisor on page 2 of 2. GCIC Requesting Leave related to an On-the-Job Injury or Illness acknowledgment of procedures, 1 page GCIC Notice, 1 page Page 1 of 5

2 GCIC Authorization for Release of Information in Connection with Workers Compensation, 2 pages Security Security Incident Report Medical Refusal Form, if appropriate Supervisor Responsibilities GCIC Supervisor s Incident Investigation Report The purpose of this report is to prevent further injury or illness by analytically determining: o the root cause of the incident; o the barriers to safe behavior, if any, that contributed to the incident; and o corrective, preventive action. The Incident Investigation Report should be completed as soon as practical following the reported incident after appropriately tending to the injured. Prompt, initial investigation for all safety incidents, including First Aid Only and Near Misses that could have resulted in serious injury and/or property damage, for the purpose of preventing further injury or illness. o Prompt and thorough investigation affords increased accuracy in recording conditions at the time of the incident: Weather Lighting Walking surfaces Object or substance that contributed to/caused the injury Placement of people, equipment, furniture, fixtures Traffic (pedestrian, vehicle, powered industrial trucks) Use of Personal Protective Equipment (PPE) or lack thereof (proper use; condition of PPE) Contributing acts or conditions; e.g., fatigue, posture, physical condition, sudden movement, etc. Equipment o Witness Statements Interview the victim, each witness and potential witness(es) independent of each other. Keep witnesses separate from each other so each witness s statement is based solely on their own observations and is free from bias or influence. Page 2 of 5

3 Ask for the facts as the victim/witness recalls---what was the time frame, start to finish; where it occurred; scope of what/whom they could see; etc. Ask open-ended questions to encourage detail without suggesting what may have occurred. For example: What happened next? Is there anything else you can recall about that? What do you think caused the incident? What do you think might have prevented the incident? The Office Human Resources department (HR) will inform the employee of his/her options regarding workers compensation benefits and will request authorization for treatment as appropriate and in compliance with State Workers Compensation Law. Responding to a Work Related Injury Emergency Situation Call 4444 for any serious injury (head trauma, eye trauma or severe laceration) and have patient taken immediately to the Emergency Room. Stay with injured party until emergency personnel arrive. Give your name and your location: RCGC, Name of Building, 1400 Tanyard Rd., Sewell, NJ Give status of injured: type of injury, alert and talking, breathing OK, bleeding controlled, etc. When injured is stable and under the care of medical personnel, follow steps below. Post Emergency/Non- Emergency Report all injuries to a supervisor and notify Human Resources (extension 2112, 2114 or 2111). A Report of Job Accident form must be completed as soon as practical, but within (24) hours You will never get in trouble for reporting an injury in good faith If the injury occurs after hours: o Notify the supervisor and Danielle Morganti at or call Danielle Morganti (856) The employee s supervisor will be responsible for insuring that a Report of Job Accident form and an Incident Report are completed. The supervisor will complete the forms on the employee s behalf if the employee is unable to complete the forms. Page 3 of 5

4 Treatment Centers Scheduling of appointments MUST be done through Human Resources. During normal working hours contact: LifeCare American Workcare 601 N. Main Street 1125 N. Delsea Drive Glassboro, NJ Glassboro, NJ (856) (856) am 9 pm daily (9 a.m. 5 p.m. Christmas Eve and closed Thanksgiving Day and Christmas Day) MedExpress Urgent Care this is NOT an emergency room 875 Mantua Pike, Suite 8 Woodbury, NJ (856) After hours and weekends (make sure Human Resources is notified at least by ): Virtua Express Immediate Care Center Virtua Health and Wellness Center Washington Township 239 Hurffville Crosskeys Road Sewell, NJ (856) What if I am Injured But Still Can Perform Some of My Duties? Light Duty The College will make reasonable accommodations on a temporary basis for light duty assignments for employees who, because of injury or illness, are unable to accomplish the usual requirements of their job. Each case will be considered on an individual basis with the needs of the College in meeting its stated goals and objectives a principal factor in reaching a decision. HR in consultation with the employee s supervisors and with input from the employee s physician will determine if reasonable accommodations can be made on a temporary basis. Page 4 of 5

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